10 results
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... e.g. pneumonia vs ... -BiPAP should never ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... Performance thorough ... event, follow ACC algorithm ... or LV dysfunction ... medical and surgical management
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Diagnosis and Management ... active ROM +/- fever ... count, and crystal evaluation ... arthritis diagnosis Treatment ... cervical, anal Cxs
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
• Clinical: fever ... , Hb), Hepatic dysfunction ... inhibitors under evaluation ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Triggers: ATRA treatment ... Prednisone 5mg/kg/day vs ... Subacute-Acute: • Common: fever ... severe APLS, organ dysfuxtion ... APML #diagnosis #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Checklist Evaluation ... Consider BiPAP (vS ... severe or w/ organ dysfunction ... Revascularization, treatment
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
- Nonremitting fever ... nervous system (CNS ... ) dysfunction • ... Treatment: • Corticosteroids ... Syndrome #Diagnosis #Management
Cyclic Vomiting Syndrome (CVS) - Management Algorithm
General Approach:
 - Identify and avoid triggers
 - Good sleep
Vomiting Syndrome (CVS ... ) - Management Algorithm ... use, autonomic dysfunction ... Topiramate and CoQ10 #CVS ... #Algorithm #Treatment
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
of Colon Cancer Algorithm ... EUA) - Consult CRS ... fertility and sexual dysfunction ... Colon #Cancer #algorithm ... #management #treatment
Invasive Fungal Infection (IFI)

Invasive fungal infections are severe infections in which fungal pathogens invade normally sterile
species (commonly CNS ... and may include fever ... , organ dysfunction ... when feasible Management ... virulence Delays in treatment